MEMBERSHIP
Membership minimum £10 (Junior £5). Please completeand send with your cheque. If you prefer to pay by Bankers Order give relevant details. Name...................................................................................... Date of Birth of junior.............................................................. Address.................................................................................. ............................................................................................... ............................................................................................... BANKER'S ORDERPlease pay .............. on the first day of ...................................starting on .................... 19 ......... and a like sum on the same date each year untill further notice. My signature.......................................................................... To the manager, .................................................................... Bank,..................................................................................... ..................................................A/C No .............................. Please pay to the Account of Mousehole Wild Bird Hospital & Sanctuary Association Ltd (A/C 0083828 ) at Lloyds Bank Ltd, Penzance, Cornwall (sort code 30-96-56) If you are a tax payer please complete the Covenant Form to enable the Bird Hospital to reclaim the tax paid from the Inland Revenue. This increases your gift at no extra cost to yourself
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I (full name) ............................................................................. ................................................................................................ of (address) ............................................................................. ................................................................................................ ................................................................................................ starting on .................... 19 ............ promise to pay the Mousehole Wild Bird Hospital during my lifetime the sum of £...................... after deduction of income tax at the basic rate for a minimum period of four years from the date here under OR until such later time as I give notice in writing. (date) .......................................................... 19 .................. Signed, sealed and delivered by me ..................................... ............................................................................................ in the presence of ................................................................ Address .............................................................................. ............................................................................................ ............................................................................................ when completed, please send to: The Mousehole Wild Bird
(Registered Charity No. 272145 ). | |
